The New York Times best-selling author of Better and Complications reveals the surprising power of the ordinary checklist.
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies - neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple 90-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential for anyone working to get things right.
©2009 Atul Gawande; (P)2009 Macmillan Audio
The variety of examples across industries and the discussion of arguments for and against this common sense discipline are inspiring to take our game to the next level. Thanks for taking the time to write this book!
I will certainly start implementing check lists in my life. and asking hospitals if they use them before undergoing surgery if I can!!!
Urban planner. Environmentalist. Geek.
If I ever write a book, I want it to be like this one.
- A new, counterintuitive idea that deserves broad adoption.
- Rigorous evidence.
- Human stories to illustrate big ideas.
- A gripping story-arc following how the author came to his conclusions.
- Clear, concise pros.
The book also came with its share of surprise. Of course checklists are useful for avoiding dumb mistakes. Less obvious is the idea that checklists can free the mind to think about bigger issues, how they can improve communication, and how they can be used to empower lower-ranked personnel. Equally fascinating is how little they have been adopted, considering the evidence for their benefits.
Here is your super-abridged version of this book: "Checklists are awesome. Use them". But even though you now know the point of the material, you will still find reading this book extremely enlightening. Careful documentation of human fallibility, and examples from numerous disciplines as to how checklists can improve life and save lives make for a great read that will have you looking for ways to incorporate them into your own life.
Superb narration by Mr. Lloyd as well.
This book does a good job of summarizing examples and cases of where developing checklists and procedures were the difference between life and death. Given the author's background, most examples are from the field of medicine - sometimes in all-too-graphic detail - but others come from aviation and other industries. Hopefully it gets its readers and listeners to think differently when tackling both everyday and challenging situations.
for the most part the playback worked just fine but in certain times the play Black was somewhat glitchy and would drop a few words here and there and then continue.
Love a good science fiction book!
The fact that we can decrease the mortaliti in 45% and the morbidity in 39% just by investing one minute is amazing
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